Registration or information form

Please fill in the following form as completely and precisely as possible, and then send it
                             ANTI SPAM !
*Write '10' in letters
           
Registration or information form
*Name and forename 
Company  
Function  
VAT number  
Address  
Country  
Phone  
Fax  
*E-mail 


Registers for the next open seminar organized by ABUCO the 05th & 06h June 2007

Will be accompanied by  (name, forename, function, phone, e-mail ) :

Will see to it that the sum of 1.815 € 3.025 €

be paid to the bank account n° 000-1450694-59 of Advanced Business Corporation at 1070  BRUSSELS

and wishes to receive an invoice.

Is a member of SEII and will therefore deduce 10 % of the above sum in his payment..

Wants to receive a more detailed information brochure in  English French Dutch

Wants to receive the following information :

Message 
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